Individual
MRS. JO ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 CHARLTON RD, EDMOND, OK 73003-6171
(405) 348-7904
Mailing address
1213 CHARLTON RD, EDMOND, OK 73003-6171
(405) 348-7904
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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